Annex E.

School Header

DAILY SCHOOL GOOD KEEPING PRACTICE REPORT

Name of School:___________________________________________
School ID: ________________________________________________
Month and Year:__________________________________________

Instruction: Kindly put a check mark(✔) if conducted.

Indicators Date Date Date Date Date Date Date

Accomplished Accomplished Accomplished Accomplished Accomplished Accomplished Accomplished

1.Inspected
laboratories
2.Unplugged
Electric
Wirings
3.Turned-Off
Lights
General Findings:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________

Prepared by:
School Head
(Signature Over Printed Name)
Address: High School Blvd., Brgy. Lourdes, City of San Fernando (P)
Telephone No.: (045) 435-2728; (045) 435-7404
Email Address: pampanga@deped.gov.ph
Website: www.depedpampanga.ph